Risk Adjusted Capitation Rate definition

Risk Adjusted Capitation Rate the Base Capitation Rate as adjusted to reflect acuity of the Enrollees in accordance with Section 4.1.C of the Contract.”
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Examples of Risk Adjusted Capitation Rate in a sentence

  • Risk Adjusted Capitation Rate – the Base Capitation Rate as adjusted to reflect acuity of the Enrollees in accordance with Section 4 of the Contract.

  • On to the Risk Adjusted Capitation Rate If the amount paid to the Contractor, as determined by the calculation described in Section 4.5.E.1.a above, is greater than the Contractor’s adjusted expenditures, as determined by the calculation described in Section 4.5.E.1.b above, then the Contractor shall be considered to have experienced a gain with respect to ABA Services for the Contract Year.

  • Gain up to $100,000 for the High Cost Drug Add- On to the Risk Adjusted Capitation Rate payment 99% 1% Gain of more than $100,000 for the High Cost Drug Add-On to the Risk Adjusted Capitation Rate payment 100% 0% Mass General Xxxxxxx ACO in Partnership with Mass General Xxxxxxx Health Plan, Inc.

  • The Blended Risk Adjusted Capitation Rate divided by the Base Capitation Rate for each NHC Region and Rating Category.

  • Gain up to $100,000 for the High Cost Drug Add- On to the Risk Adjusted Capitation Rate payment 99% 1% Gain of more than $100,000 for the High Cost Drug Add-On to the Risk Adjusted Capitation Rate payment 100% 0% Reliant Medical Group, Inc.

  • Gain on the ABA Add-On to the Risk Adjusted Capitation Rate If the amount paid to the Contractor, as determined by the calculation described in Section 4.5.E.1.a above, is greater than the Contractor’s adjusted expenditures, as determined by the calculation described in Section 4.5.E.1.b above, then the Contractor shall be considered to have experienced a gain with respect to ABA Services for the Contract Year.

  • Risk Adjusted Capitation Rate – The Base Capitation Rate as adjusted by the blended risk score to reflect acuity of the Enrollees in accordance with Section 4.2.3 of the Contract.

  • Gain up to $100,000 for the High Cost Drug Add- On to the Risk Adjusted Capitation Rate payment 99% 1% Gain of more than $100,000 for the High Cost Drug Add-On to the Risk Adjusted Capitation Rate payment 100% 0% Atrius Health, Inc.

  • The Blended Risk Adjusted Capitation Rate is calculated as follows: LTSS Portion of the Capitation Rate: The percentage of the NHC rate for each region and rating category that is determined by the actuary to represent the costs impacted by the functional status of the Member.

Related to Risk Adjusted Capitation Rate

  • Capitation rate means the fee the department pays monthly to a participating health or dental plan for each enrollee for the provision of covered medical or dental services whether or not the enrollee received services during the month for which the fee is intended.

  • Inflation rate means that term as defined in section 34d.

  • Total adjusted capital means the sum of:

  • Adjusted Base Rate means the Base Rate plus the Applicable Percentage.

  • HICP Daily Inflation Reference Index means (A) in relation to the first calendar day of any given month, the HICP Monthly Reference Index of the third month preceding such month, and (B) in relation to a calendar day (D) (other than the first calendar day) in any given month (M), the linear interpolation of the HICP Monthly Reference Index pertaining respectively to the third month preceding such month (M - 3) and the second month preceding such month (M - 2) calculated in accordance with the following formula:

  • Adjusted Capital means cumulative gross proceeds generated by the Corporation from sales of shares of Common Stock (including proceeds from the Corporation’s distribution reinvestment plan) reduced for amounts paid for share repurchases pursuant to the Corporation’s share repurchase program. The calculation of the Subordinated Incentive Fee on Income for each quarter is as follows:

  • Minimum Weighted Average Coupon Test means a test that will be satisfied on any Measurement Date if the Weighted Average Coupon equals or exceeds 5.0%.

  • Adjusted Total turnover means the turnover in a State or a Union territory, as defined under sub-section (112) of section 2, excluding the value of exempt supplies other than zero-rated supplies, during the relevant period;

  • CPI Daily Inflation Reference Index means (A) in relation to the first day of any given month, the CPI Monthly Reference Index of the third month preceding such month, and (B) in relation to a day (D) (other than the first day) in any given month (M), the linear interpolation of the CPI Monthly Reference Index pertaining respectively to the third month preceding such month (M - 3) and the second month preceding such month (M - 2) calculated in accordance with the following formula:

  • Capitalization Rate means 7.00%.

  • Adjusted Net Earnings means net earnings (loss) attributable to common stockholders as reported in the Company’s periodic reports filed with the Securities and Exchange Commission, provided that such amount shall be adjusted by reversing the following, to the extent such adjustments were made in calculating such net earnings (loss) attributable to common stockholders:

  • Average Monthly Limit means the maximum allowable "Average Monthly Concentration" as defined in Section 22a-430-3(a) of the RCSA when expressed as a concentration (e.g. mg/l); otherwise, it means "Average Monthly Discharge Limitation" as defined in Section 22a-430-3(a) of the RCSA.

  • Adjusted Capital Account means the Capital Account maintained for each Partner as of the end of each Fiscal Year (i) increased by any amounts which such Partner is obligated to restore pursuant to any provision of this Agreement or is deemed to be obligated to restore pursuant to the penultimate sentences of Regulations Sections 1.704-2(g)(1) and 1.704-2(i)(5) and (ii) decreased by the items described in Regulations Sections 1.704-1(b)(2)(ii)(d)(4), 1.704-1(b)(2)(ii)(d)(5) and 1.704-1(b)(2)(ii)(d)(6). The foregoing definition of Adjusted Capital Account is intended to comply with the provisions of Regulations Section 1.704-1(b)(2)(ii)(d) and shall be interpreted consistently therewith.

  • Minimum Dilution Reserve Percentage means, at any time of determination, the product (expressed as a percentage and rounded to the nearest 1/100th of 1%, with 5/1000th of 1% rounded upward) of (a) the average of the Dilution Ratios for the twelve (12) most recent Fiscal Months, multiplied by (b) the Dilution Horizon Ratio.

  • Adjusted Dilution Ratio means, at any time, the rolling average of the Dilution Ratio for the 12 Calculation Periods then most recently ended.

  • Adjusted Covered Debt Balance means, on any date, the aggregate Covered Debt Amount on such date minus the aggregate amount of Cash and Cash Equivalents included in the Portfolio Investments held by the Obligors (provided that Cash Collateral for outstanding Letters of Credit shall not be treated as a portion of the Portfolio Investments).

  • Volume Weighted Average Price means, for any security as of any date, the daily dollar volume-weighted average price for such security on the Primary Market as reported by Bloomberg through its “Historical Prices – Px Table with Average Daily Volume” functions, or, if no dollar volume-weighted average price is reported for such security by Bloomberg, the average of the highest closing bid price and the lowest closing ask price of any of the market makers for such security as reported in the "pink sheets" by Pink Sheets LLC.

  • Total risk-based capital ratio means the Total Risk-Based Capital Ratio determined in accordance with the rules and regulations of the appropriate Regulatory Authority as from time to time in effect, and any successor or other regulation or official interpretation of said Regulatory Authority relating thereto.

  • Annual Percentage Rate or “APR” of a Receivable means the annual rate of finance charges stated in such Receivable.